Healthcare Provider Details

I. General information

NPI: 1932010568
Provider Name (Legal Business Name): AMERICAN HEALTH MEDICAL CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2140 W FLAGLER ST STE 208
MIAMI FL
33135-1642
US

IV. Provider business mailing address

2140 W FLAGLER ST STE 208
MIAMI FL
33135-1642
US

V. Phone/Fax

Practice location:
  • Phone: 305-381-5333
  • Fax: 305-381-5339
Mailing address:
  • Phone: 305-381-5333
  • Fax: 305-381-5339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANTER NOSLEN OLIVA
Title or Position: OWNER
Credential:
Phone: 305-713-8026